1991, 10-29 Permit App: 91007337 SewerSpokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
4 1 — 1W cD—
PARCEL NUMBER:
STREET ADDRESS: 5. zj� 6 ' �c
CITY/STATE/ZIP:,jp/�/
SUBDIVISION: OP Q
BLOCK:- LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH:
# OF BUILDINGS: # OF DWELLINGS:
DEPTH: R/W:
WATER DISTRICT:
OWNER: 41LC Lxilcl /3/-cZW,l PHONE: - -
MAILING ADDRESS:
CITY/STATE/ZIP:��/������/�
CONTACT: ,� C_ PHONE:
SETBACKS: - FRONT:
PERMIT USE:
LEFT: RIGHT: REAR:
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: /l',� X`7—
CONTRACTOR: y'�j� ` 5 X PHONE: ` (� - 3f -
MAILING
f -MAILING ADDRESS : IV,/ 75,?- 3
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X
REQUIRED PARKING: # HANDICAP:
(WIDTH X DEPTH) SQ. FT.:
SPRINKLERED: CRITICAL MATERIAL:
Please provide the following information for Energy Code compliance:
y
Space heating type (check one)
Forced air electric Electric baseboard or wall mount
Forced air gas Heat pump
Flat ceilings R
Vaulted ceilings R
Above grade walls R
Below grade walls R
Floor R
Slab on grade R
Doors U
Windows U
Glazing area
Total floor area
of heated space
Furnace efficiency rating
Propane
Other:_
Please indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
Main floor:
Second floor:
Basement - Finished:
Unfinished:
Garage:
Carpo
Decks:
Additional Areas: